CWOA Proxy Submission
A proxy voter must be an individual appointed by the President of a Chapter, or in the absence of a President, the individual who is next in line for succession as stated in the chapters by-laws in the absence of the President of the Chapter.
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I, *
State Your Name
, holding the position of *
of the *
Select Your Chapter
being an elected member of the CWOA Executive Committee, do herby appoint, *
Name of person you are giving your proxy to.  Must be a member in good standing of the CWOA.
as our Chapters (my board of directors) proxy, to vote on our (my) behalf at a meeting of the Association to be held  on *
Enter the date of the meeting you are giving the proxy for, this date must match the date of the meeting being held.
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and at any adjournment of that meeting.     If not instructed by the Chapter (or myself) prior to the meeting, our (my) proxy is authorized to vote as he or she sees fit.
Signed *
Type Your Full Name
Given This Date *
Date you gave this Proxy vote to the Association
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Your Email *
Your Phone Number *
Proxy's Email *
Proxy's Phone Number *
Submit
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